Benchimol A, Desser K B, Hastreiter A R
Am J Cardiol. 1975 Jul;36(1):67-75.
With use of the Frank lead system, still loop and timed vectorcardiograms were recorded in more than 5,000 patients subjected to complete right and left heart catheterization and selective coronary cineangiography. Data so obtained demonstrated clinical superiority of the vectorcardiogram over the standard 12 lead scalar electrocardiogram. Specific advantages of the vectorcardiogram include (1) recognition of undetected atrial and ventricular hypertrophy, (2) greater sensitivity in identification of myocardial infarction, and (3) superior capability for diagnosis of multiple infarctions in the presence of fascicular and bundle branch blocks. The timed biplane vectorcardiogram is as useful as any number of simultaneously recorded electrocardiographic leads for the analysis of complex arrhythmias and beat to beat changes in intraventricular conduction. Since the validity and usefulness of this technique have been established, it should become part of the routine noninvasive evaluation of patients with cardiovascular disorders.
使用弗兰克导联系统，对5000多名接受了完整的右心和左心导管检查以及选择性冠状动脉造影的患者记录了静息环和定时向量心电图。如此获得的数据证明了向量心电图相对于标准12导联标量心电图的临床优势。向量心电图的具体优势包括：（1）识别未被检测到的心房和心室肥大；（2）在识别心肌梗死方面具有更高的敏感性；（3）在存在束支和束支传导阻滞的情况下诊断多处梗死的能力更强。定时双平面向量心电图对于分析复杂心律失常和心室传导逐搏变化，与同时记录任意数量的心电图导联一样有用。由于该技术的有效性和实用性已经得到确立，它应该成为心血管疾病患者常规无创评估的一部分。
